DISABILITY BENEFITS INSURANCE CONTRACT

The Workers' Compensation Board's Office of Disability Benefits continues to
update and enhance its Employer Compliance functions. As part of this effort, the
Board issued DBIC Bulletin #41 on April 8, 2003, which directed that, beginning
June 2, 2003, the employer's FEIN would be a mandatory data element on all Disability
Benefits coverage transactions with the exception of cancellations.

In order to improve the efficiency and effectiveness of our Insurance Compliance System,
the employer's FEIN will become a mandatory data element for all Disability Benefits
transactions, including cancellations, commencing February 1, 2004. Transactions received
by the Board that do not meet the mandatory data requirements will be returned to the
insurance carrier unprocessed.

Upon request, the Board will provide carriers a report containing the FEINs (where available)
of their insureds.

If you have any questions regarding this new policy or would like to request a report of your
insureds' FEINs, please contact dbpoc.support@wcb.ny.gov.